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1548773831
MICHAEL FRANK RUSSELL
RICHMOND, VA
NPI
1548773831
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: VA 1341)
Enumeration Date
2017-11-09
Last Update Date
2017-11-09
Business Address
MICHAEL FRANK RUSSELL Counselor
2217 E FRANKLIN ST
RICHMOND, VA 23223-7046
Phone number: 804-213-0249
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Mailing Address
MICHAEL FRANK RUSSELL Counselor
2217 E FRANKLIN ST
RICHMOND, VA 23223-7046
Phone number: 804-213-0249
Copy
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